I release Modern Rhythms Dance Academy, LLC, located at 635 Hicksville Road, Bethpage, it's staff and teachers of any liability for accident or injury that may occur while attending dance class, or other related activities away from or at the facility. I am responsible for the drop off and pick up of my child at the appropriate times.
I authorize, Modern Rhythms Dance Academy, LLC, to use my Child's image in photography for brochures, videos and on the website for Modern Rhythms. I understand that I will not be compensated in any way for use of these photographs and the students name will not be used without additional consent.
In the event a parent or legal guardian is not present at the time of a medical emergency, I hear by authorize Modern Rhythms Dance Academy to take any necessary steps to provide medical services.